As fast as an X-ray: real-time magnetic resonance imaging for diagnosis of idiopathic scoliosis in children and adolescents
Background Idiopathic scoliosis is common in adolescence. Due to the rapid growth of the spine, it must be monitored closely with radiographs to ensure timely intervention when therapy is needed. As these radiographs continue into young adulthood, patients are repeatedly exposed to ionizing radiatio...
Gespeichert in:
| Veröffentlicht in: | Pediatric radiology 2024-06, Vol.54 (7), p.1168-1179 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1179 |
|---|---|
| container_issue | 7 |
| container_start_page | 1168 |
| container_title | Pediatric radiology |
| container_volume | 54 |
| creator | Roth, Christian Heyde, Christoph-Eckhard Schumann, Eckehard Voit, Dirk Frahm, Jens Hirsch, Franz W. Anders, Rebecca Gräfe, Daniel |
| description | Background
Idiopathic scoliosis is common in adolescence. Due to the rapid growth of the spine, it must be monitored closely with radiographs to ensure timely intervention when therapy is needed. As these radiographs continue into young adulthood, patients are repeatedly exposed to ionizing radiation.
Objective
This study aimed to investigate whether real-time magnetic resonance imaging (MRI) is equivalent to conventional radiography in juvenile idiopathic scoliosis for determining curvature, rotation and the Risser stage. Additionally, the time requirement should be quantified.
Materials and methods
Children with idiopathic scoliosis who had postero-anterior whole-spine radiography for clinical indications were included in this prospective study. A real-time spine MRI was performed at 3 tesla in the supine position, capturing images in both the coronal and sagittal planes. The scoliosis was assessed using Cobb angle, rotation was evaluated based on Nash and Moe criteria, and the Risser stage was determined for each modality. The correlations between modalities and a correction factor for the Cobb angle between the standing and supine position were calculated.
Results
A total of 33 children (aged 5–17 years), who met the inclusion criteria, were recruited. The Cobb angle (
R
2
= 0.972;
P
|
| doi_str_mv | 10.1007/s00247-024-05919-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11182802</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3049718830</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-614ae11be283558bd7ff0261e7834ec7624a9b9ef0180f355d226567754ea0223</originalsourceid><addsrcrecordid>eNp9kU1rVDEUhoMo9kP_gAsJuHETzddNct1IKVaFQjcV3IXMvSczKXeSMedOofjnzXRqbbtwk4RznvOevLyEvBH8g-DcfkTOpbasHYx3veiZekYOhVaSib53zx-8D8gR4hXnXHVCvSQHyhlnlTaH5PcJ0hhwpgFpyPQnq-HmE60QJjanNdB1WGaY09BKWHLIA9DUaikvaSyVjqn1CyakJdI0prIJ86rROJQp3dZTpsMqTWOF3BaMNIxlAhwgz_iKvIhhQnh9dx-TH2dfLk-_sfOLr99PT87ZoKWZmRE6gBALkE51nVuMNkYujQDrlIbBGqlDv-ghcuF4bMgopemMtZ2GwKVUx-TzXnezXaxh3O2uYfKb2pzUG19C8o87Oa38slx7IYSTju8U3t8p1PJrCzj7dWoepilkKFv0iuveCucUb-i7J-hV2dbc_DXKuL7XXOwouaeGWhArxPvfCO534fp9uL4d_jZcr9rQ24c-7kf-ptkAtQewtfIS6r_d_5H9A99TsE4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3068994010</pqid></control><display><type>article</type><title>As fast as an X-ray: real-time magnetic resonance imaging for diagnosis of idiopathic scoliosis in children and adolescents</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Roth, Christian ; Heyde, Christoph-Eckhard ; Schumann, Eckehard ; Voit, Dirk ; Frahm, Jens ; Hirsch, Franz W. ; Anders, Rebecca ; Gräfe, Daniel</creator><creatorcontrib>Roth, Christian ; Heyde, Christoph-Eckhard ; Schumann, Eckehard ; Voit, Dirk ; Frahm, Jens ; Hirsch, Franz W. ; Anders, Rebecca ; Gräfe, Daniel</creatorcontrib><description>Background
Idiopathic scoliosis is common in adolescence. Due to the rapid growth of the spine, it must be monitored closely with radiographs to ensure timely intervention when therapy is needed. As these radiographs continue into young adulthood, patients are repeatedly exposed to ionizing radiation.
Objective
This study aimed to investigate whether real-time magnetic resonance imaging (MRI) is equivalent to conventional radiography in juvenile idiopathic scoliosis for determining curvature, rotation and the Risser stage. Additionally, the time requirement should be quantified.
Materials and methods
Children with idiopathic scoliosis who had postero-anterior whole-spine radiography for clinical indications were included in this prospective study. A real-time spine MRI was performed at 3 tesla in the supine position, capturing images in both the coronal and sagittal planes. The scoliosis was assessed using Cobb angle, rotation was evaluated based on Nash and Moe criteria, and the Risser stage was determined for each modality. The correlations between modalities and a correction factor for the Cobb angle between the standing and supine position were calculated.
Results
A total of 33 children (aged 5–17 years), who met the inclusion criteria, were recruited. The Cobb angle (
R
2
= 0.972;
P
< 0.01) was positively correlated with a correction factor of 1.07 between modalities. Additionally, the degree of rotation (
R
2
= 0.92;
P
< 0.01) and the Risser stage (
R
2
= 0.93;
P
< 0.01) demonstrated a strong correlation.
Conclusion
Real-time MRI is equivalent to conventional radiography in determining baseline parameters. Furthermore, it is radiation-free and less time-consuming.
Graphical abstract</description><identifier>ISSN: 1432-1998</identifier><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-024-05919-3</identifier><identifier>PMID: 38687346</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adolescents ; Child ; Child, Preschool ; Children ; Correlation ; Criteria ; Equivalence ; Female ; Humans ; Imaging ; Ionizing radiation ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Neuroradiology ; Nuclear Medicine ; Oncology ; Original ; Original Article ; Pediatrics ; Prospective Studies ; Radiation ; Radiographs ; Radiography ; Radiography - methods ; Radiology ; Real time ; Rotation ; Scoliosis ; Scoliosis - diagnostic imaging ; Supine position ; Ultrasound</subject><ispartof>Pediatric radiology, 2024-06, Vol.54 (7), p.1168-1179</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-614ae11be283558bd7ff0261e7834ec7624a9b9ef0180f355d226567754ea0223</cites><orcidid>0000-0002-7680-0990 ; 0000-0002-0058-2157 ; 0000-0002-3501-9583 ; 0000-0002-9083-4062 ; 0000-0001-6080-9993 ; 0000-0003-0960-3740 ; 0000-0002-8279-884X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00247-024-05919-3$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00247-024-05919-3$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38687346$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roth, Christian</creatorcontrib><creatorcontrib>Heyde, Christoph-Eckhard</creatorcontrib><creatorcontrib>Schumann, Eckehard</creatorcontrib><creatorcontrib>Voit, Dirk</creatorcontrib><creatorcontrib>Frahm, Jens</creatorcontrib><creatorcontrib>Hirsch, Franz W.</creatorcontrib><creatorcontrib>Anders, Rebecca</creatorcontrib><creatorcontrib>Gräfe, Daniel</creatorcontrib><title>As fast as an X-ray: real-time magnetic resonance imaging for diagnosis of idiopathic scoliosis in children and adolescents</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><addtitle>Pediatr Radiol</addtitle><description>Background
Idiopathic scoliosis is common in adolescence. Due to the rapid growth of the spine, it must be monitored closely with radiographs to ensure timely intervention when therapy is needed. As these radiographs continue into young adulthood, patients are repeatedly exposed to ionizing radiation.
Objective
This study aimed to investigate whether real-time magnetic resonance imaging (MRI) is equivalent to conventional radiography in juvenile idiopathic scoliosis for determining curvature, rotation and the Risser stage. Additionally, the time requirement should be quantified.
Materials and methods
Children with idiopathic scoliosis who had postero-anterior whole-spine radiography for clinical indications were included in this prospective study. A real-time spine MRI was performed at 3 tesla in the supine position, capturing images in both the coronal and sagittal planes. The scoliosis was assessed using Cobb angle, rotation was evaluated based on Nash and Moe criteria, and the Risser stage was determined for each modality. The correlations between modalities and a correction factor for the Cobb angle between the standing and supine position were calculated.
Results
A total of 33 children (aged 5–17 years), who met the inclusion criteria, were recruited. The Cobb angle (
R
2
= 0.972;
P
< 0.01) was positively correlated with a correction factor of 1.07 between modalities. Additionally, the degree of rotation (
R
2
= 0.92;
P
< 0.01) and the Risser stage (
R
2
= 0.93;
P
< 0.01) demonstrated a strong correlation.
Conclusion
Real-time MRI is equivalent to conventional radiography in determining baseline parameters. Furthermore, it is radiation-free and less time-consuming.
Graphical abstract</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Correlation</subject><subject>Criteria</subject><subject>Equivalence</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Ionizing radiation</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Nuclear Medicine</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Prospective Studies</subject><subject>Radiation</subject><subject>Radiographs</subject><subject>Radiography</subject><subject>Radiography - methods</subject><subject>Radiology</subject><subject>Real time</subject><subject>Rotation</subject><subject>Scoliosis</subject><subject>Scoliosis - diagnostic imaging</subject><subject>Supine position</subject><subject>Ultrasound</subject><issn>1432-1998</issn><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU1rVDEUhoMo9kP_gAsJuHETzddNct1IKVaFQjcV3IXMvSczKXeSMedOofjnzXRqbbtwk4RznvOevLyEvBH8g-DcfkTOpbasHYx3veiZekYOhVaSib53zx-8D8gR4hXnXHVCvSQHyhlnlTaH5PcJ0hhwpgFpyPQnq-HmE60QJjanNdB1WGaY09BKWHLIA9DUaikvaSyVjqn1CyakJdI0prIJ86rROJQp3dZTpsMqTWOF3BaMNIxlAhwgz_iKvIhhQnh9dx-TH2dfLk-_sfOLr99PT87ZoKWZmRE6gBALkE51nVuMNkYujQDrlIbBGqlDv-ghcuF4bMgopemMtZ2GwKVUx-TzXnezXaxh3O2uYfKb2pzUG19C8o87Oa38slx7IYSTju8U3t8p1PJrCzj7dWoepilkKFv0iuveCucUb-i7J-hV2dbc_DXKuL7XXOwouaeGWhArxPvfCO534fp9uL4d_jZcr9rQ24c-7kf-ptkAtQewtfIS6r_d_5H9A99TsE4</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Roth, Christian</creator><creator>Heyde, Christoph-Eckhard</creator><creator>Schumann, Eckehard</creator><creator>Voit, Dirk</creator><creator>Frahm, Jens</creator><creator>Hirsch, Franz W.</creator><creator>Anders, Rebecca</creator><creator>Gräfe, Daniel</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7680-0990</orcidid><orcidid>https://orcid.org/0000-0002-0058-2157</orcidid><orcidid>https://orcid.org/0000-0002-3501-9583</orcidid><orcidid>https://orcid.org/0000-0002-9083-4062</orcidid><orcidid>https://orcid.org/0000-0001-6080-9993</orcidid><orcidid>https://orcid.org/0000-0003-0960-3740</orcidid><orcidid>https://orcid.org/0000-0002-8279-884X</orcidid></search><sort><creationdate>20240601</creationdate><title>As fast as an X-ray: real-time magnetic resonance imaging for diagnosis of idiopathic scoliosis in children and adolescents</title><author>Roth, Christian ; Heyde, Christoph-Eckhard ; Schumann, Eckehard ; Voit, Dirk ; Frahm, Jens ; Hirsch, Franz W. ; Anders, Rebecca ; Gräfe, Daniel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-614ae11be283558bd7ff0261e7834ec7624a9b9ef0180f355d226567754ea0223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Correlation</topic><topic>Criteria</topic><topic>Equivalence</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Ionizing radiation</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Prospective Studies</topic><topic>Radiation</topic><topic>Radiographs</topic><topic>Radiography</topic><topic>Radiography - methods</topic><topic>Radiology</topic><topic>Real time</topic><topic>Rotation</topic><topic>Scoliosis</topic><topic>Scoliosis - diagnostic imaging</topic><topic>Supine position</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roth, Christian</creatorcontrib><creatorcontrib>Heyde, Christoph-Eckhard</creatorcontrib><creatorcontrib>Schumann, Eckehard</creatorcontrib><creatorcontrib>Voit, Dirk</creatorcontrib><creatorcontrib>Frahm, Jens</creatorcontrib><creatorcontrib>Hirsch, Franz W.</creatorcontrib><creatorcontrib>Anders, Rebecca</creatorcontrib><creatorcontrib>Gräfe, Daniel</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatric radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roth, Christian</au><au>Heyde, Christoph-Eckhard</au><au>Schumann, Eckehard</au><au>Voit, Dirk</au><au>Frahm, Jens</au><au>Hirsch, Franz W.</au><au>Anders, Rebecca</au><au>Gräfe, Daniel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>As fast as an X-ray: real-time magnetic resonance imaging for diagnosis of idiopathic scoliosis in children and adolescents</atitle><jtitle>Pediatric radiology</jtitle><stitle>Pediatr Radiol</stitle><addtitle>Pediatr Radiol</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>54</volume><issue>7</issue><spage>1168</spage><epage>1179</epage><pages>1168-1179</pages><issn>1432-1998</issn><issn>0301-0449</issn><eissn>1432-1998</eissn><abstract>Background
Idiopathic scoliosis is common in adolescence. Due to the rapid growth of the spine, it must be monitored closely with radiographs to ensure timely intervention when therapy is needed. As these radiographs continue into young adulthood, patients are repeatedly exposed to ionizing radiation.
Objective
This study aimed to investigate whether real-time magnetic resonance imaging (MRI) is equivalent to conventional radiography in juvenile idiopathic scoliosis for determining curvature, rotation and the Risser stage. Additionally, the time requirement should be quantified.
Materials and methods
Children with idiopathic scoliosis who had postero-anterior whole-spine radiography for clinical indications were included in this prospective study. A real-time spine MRI was performed at 3 tesla in the supine position, capturing images in both the coronal and sagittal planes. The scoliosis was assessed using Cobb angle, rotation was evaluated based on Nash and Moe criteria, and the Risser stage was determined for each modality. The correlations between modalities and a correction factor for the Cobb angle between the standing and supine position were calculated.
Results
A total of 33 children (aged 5–17 years), who met the inclusion criteria, were recruited. The Cobb angle (
R
2
= 0.972;
P
< 0.01) was positively correlated with a correction factor of 1.07 between modalities. Additionally, the degree of rotation (
R
2
= 0.92;
P
< 0.01) and the Risser stage (
R
2
= 0.93;
P
< 0.01) demonstrated a strong correlation.
Conclusion
Real-time MRI is equivalent to conventional radiography in determining baseline parameters. Furthermore, it is radiation-free and less time-consuming.
Graphical abstract</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38687346</pmid><doi>10.1007/s00247-024-05919-3</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-7680-0990</orcidid><orcidid>https://orcid.org/0000-0002-0058-2157</orcidid><orcidid>https://orcid.org/0000-0002-3501-9583</orcidid><orcidid>https://orcid.org/0000-0002-9083-4062</orcidid><orcidid>https://orcid.org/0000-0001-6080-9993</orcidid><orcidid>https://orcid.org/0000-0003-0960-3740</orcidid><orcidid>https://orcid.org/0000-0002-8279-884X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-1998 |
| ispartof | Pediatric radiology, 2024-06, Vol.54 (7), p.1168-1179 |
| issn | 1432-1998 0301-0449 1432-1998 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11182802 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Adolescents Child Child, Preschool Children Correlation Criteria Equivalence Female Humans Imaging Ionizing radiation Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Medical imaging Medicine Medicine & Public Health Neuroradiology Nuclear Medicine Oncology Original Original Article Pediatrics Prospective Studies Radiation Radiographs Radiography Radiography - methods Radiology Real time Rotation Scoliosis Scoliosis - diagnostic imaging Supine position Ultrasound |
| title | As fast as an X-ray: real-time magnetic resonance imaging for diagnosis of idiopathic scoliosis in children and adolescents |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T02%3A33%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=As%20fast%20as%20an%20X-ray:%20real-time%20magnetic%20resonance%20imaging%20for%20diagnosis%20of%20idiopathic%20scoliosis%20in%20children%20and%20adolescents&rft.jtitle=Pediatric%20radiology&rft.au=Roth,%20Christian&rft.date=2024-06-01&rft.volume=54&rft.issue=7&rft.spage=1168&rft.epage=1179&rft.pages=1168-1179&rft.issn=1432-1998&rft.eissn=1432-1998&rft_id=info:doi/10.1007/s00247-024-05919-3&rft_dat=%3Cproquest_pubme%3E3049718830%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3068994010&rft_id=info:pmid/38687346&rfr_iscdi=true |